How did you learn about Fox Terriers and why did you decide on this breed?

Do you have any other pets or livestock?YesNo*

Please supply name, breed, gender, age and neuter status of other pets:

What dogs have you owned previously and what happened to them?

Have you or any immediate family members ever surrendered a dog to a rescue group, humane society or animal shelter?YesNo*

Please explain the circumstances:

Has your ownership of a dog ever caused you to be in a court situation?YesNo*

Please explain:

Tell Us About Your home

Do you have any children living in the home or who are in the home on a regular basis?YesNo*

Please list their age(s):

What type of dwelling do you live in?

Do you own or rent?OwnRent*

Please provide your landlord's name:

Please provide your landlord's telephone number:

Do you have a fenced in yard?YesNo*

What type of fencing and how high?

Do you have a swimming pool?YesNo

Is it separately fenced?YesNo

Home Care

How often and for how long is there regularly no one at home?

Where would the dog be during those hours?

Where will the dog stay at night?

Who will care for dog on a regular basis?

Please list other persons in household besides those listed in the first question who will have contact with dog:

Does this person approve of getting a dog?YesNo

On vacations, what would you do with the dog?

How will the dog get exercise?

Do you plan to do obedience training with the dog if he/she is not already trained?YesNo

How would you help your rescue Fox Terrier adapt to its new home and how would you introduce it to your rules and expectations, including where and when to go outside?

Some rescue dogs are untrained and not housebroken. Are you willing to take a dog like this?YesNo*

Are you familiar with crate training?YesNo*

Would you be willing to take a dog with minor health or behavioral conditions?YesNo*

PLEASE ANSWER ALL QUESTIONS!

Have you in your dog owning experience ever had to deal with the following?

Separation Anxiety?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Housebreaking?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Minor aggression – growling?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo

Moderate aggression – nipping?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Major aggression – biting?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Dog vs. dog aggression?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Dog vs. cat aggression?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Dogs that pull hard on leads?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Digging?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Running away?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Chasing other animals?YesNo*

How was this dealt with?

Would this be a reason to turn down a Fox Terrier?YesNo*

Final Questions

All dogs must be spayed or neutered as part of the adoption process. Are you willing to do this if not already been done?YesNo*

When will you be ready to take possession of the dog?

If there are no dogs available in your area, are you willing to have a dog transported from another area?YesNo*

What is your closest major airport?

Would it be o.k. with you to have a member of American Fox Terrier Rescue visit your home?YesNo*

Please tell us a little about yourself and your lifestyle so that we can match the right Fox Terrier to your home.

Veterinary reference (name and phone):

Thank you for filling out the application.

If a dog is found for you to adopt, the rescue volunteer will request a donation to help defray ongoing costs of helping homeless Fox Terriers such as veterinary bills, spaying or neutering, flea treatments, food and other expenses.